Shantan Bhargav Redd Ravula, MD

Primary specialty

Sleep Medicine (Family Medicine) PhysicianTaxonomy code 207QS1201X

License

0101273073 Issued in VA

Practice address

7300 Ashlake Pkwy Ste 200
Chesterfield, VA 23832-2827

Phone

(804) 256-8282

Fax

(804) 256-8288

NPI assigned

May 16, 2009

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in VA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Sleep Medicine

Education

University of Oklahoma College of Medicine, 2012

Medicare assignment

May accept Medicare assignment

Telehealth

Offers telehealth services

Group practices

Mary Washington Healthcare PhysiciansGroup PAC ID 2769546530, 286 clinicians

Vitalcare Family LLCGroup PAC ID 6709132731, 29 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Mary Washington Hospital Hospital, Fredericksburg, VA, CCN 490022
• Stafford Hospital, LLC Hospital, Stafford, VA, CCN 490140

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: sravula143863@marywashingtonhealthcare.direct-ci.com
• FHIR API: https://fhir4.healow.com/fhir/r4/GCGCBD
• Direct secure messaging: sravula7777@direct.casso.us.com
• Direct secure messaging: shantan.ravula@vcfp.eclinicaldirectplus.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Mary Washington Healthcare Physicians

  • Family Medicine Physician
  • Fredericksburg, VA
  • NPI 1295999852
  Medicare reassignment Care Compare group NPD
• Vitalcare Family LLC

  • Family Medicine Physician
  • Chesterfield, VA
  • NPI 1205337417

  Sleep Medicine

  Medicare reassignment Care Compare group NPD
• Mary Washington Healthcare Physicians

  • Durable Medical Equipment & Medical Supplies
  • Fredericksburg, VA
  • NPI 1740853035
  NPD
• Nourish2Flourishrva LLC

  • Registered Dietitian
  • Midlothian, VA
  • NPI 1548636350
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Mary Washington Hospital Inc.

  • General Acute Care Hospital
  • Fredericksburg, VA
  • NPI 1942288527
  Care Compare affiliation
• Mary Washington Hospital, Inc.

  • Cardiovascular Disease Physician
  • Fredericksburg, VA
  • NPI 1013089879

  Hospital

  Care Compare affiliation
• Mary Washington Hospital, Inc.

  • Home Health Agency
  • Fredericksburg, VA
  • NPI 1407814163

  Hospital

  Care Compare affiliation
• Stafford Hospital, LLC

  • General Acute Care Hospital
  • Stafford, VA
  • NPI 1043343304
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1242432000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1770768000000",
    "number": "1245465541",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7300 ASHLAKE PKWY STE 200",
            "city": "CHESTERFIELD",
            "state": "VA",
            "postal_code": "238322827",
            "telephone_number": "804-256-8282",
            "fax_number": "804-256-8288"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7300 ASHLAKE PKWY STE 200",
            "city": "CHESTERFIELD",
            "state": "VA",
            "postal_code": "238322827",
            "telephone_number": "804-256-8282",
            "fax_number": "804-256-8288"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2216 Princess Anne St Ste 106",
            "address_purpose": "LOCATION",
            "city": "Fredericksburg",
            "state": "VA",
            "postal_code": "224013300",
            "country_code": "US",
            "telephone_number": "540-741-7846",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RAVULA",
        "first_name": "SHANTAN BHARGAV REDD",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-05-16",
        "last_updated": "2026-02-11",
        "certification_date": "2026-02-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207QS1201X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Sleep Medicine",
            "state": "LA",
            "license": "206173",
            "primary": false
        },
        {
            "code": "207QS1201X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Sleep Medicine",
            "state": "VA",
            "license": "0101273073",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2348019",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Randolph & Davison Enterprises Inc.
• Chantell Nicole Randolph
• Merinda Doreen Randolph, SERVICE FACIL
• Karen H Rapp, LPC
• Ray Kareem Rasheed
• Wanda Reese, LCSW
• Reflective Behavioral Services LLC
• Registers Behavioral Consulting, LLC
• Pamela Stancell Reid, OTR
• Karen Reilly-Jones, L.C.S.W.

• Sleep Medicine (Family Medicine) Physician in Chesterfield, VA
• Providers in Chesterfield, VA by specialty
• Sleep Medicine (Family Medicine) Physician in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.